[Vertigo patient population in a vertigo private clinic in Hungary]

Introduction: Vertigo is a frequent issue in everyday medical practice. Without specific examinations, it can persist, leading to co-occurring symptoms. Objective: To present our experiences gained at a clinic specialising in vertigo. Method: In this study, patients were enrolled at a clinic specialising in vertigo. Detailed case histories, physical assessments of the vestibular system, pure-tone audiometry, brain CT/MRI, and carotid vertebral Doppler ultrasonography results were examined. To assess the impact of symptoms, the Dizziness Handicap Inventory (DHI) and the Tinnitus Handicap Inventory (THI) were administered. Results: 121 patients (51.40 ± 13.38 years; 72 women) were enrolled. The median onset of vertigo was recorded at 5 months, with a maximum of 240 months. Spinning sensations were reported in more than 60% of the attacks, with a median duration of 1.5 hours. Hearing loss occurred in approximately 30%, while tinnitus was noted in 50%, with bilateral tinnitus being the most common (38.7%). Headaches occurred in approximately 30%, with a significant proportion related to vertigo (81.25%). The most frequent diagnoses were benign paroxysmal positional vertigo (24.8%), vestibular migraine (22.3%), non-vestibular causes (19.8%), and Ménière’s disease (18.2%). Spontaneous vestibular signs occurred at low rates (5%). The head-impulse test was positive slightly more often (10%). Positional nystagmus was detected in 13%, which is a low percentage, especially given the high prevalence of benign paroxysmal positional vertigo. Brain CT scan was conducted in 24%, with 65% having negative results. In comparison, brain MRI was performed in 74%, and 35% yielded negative results. Carotid Doppler ultrasonography showed normal results in 62%. Severe vertigo was reported in 41%, while mild (34%) and moderately severe (32%) tinnitus were the most commonly reported handicaps. Conclusion: There are various causes of vertigo, including vestibular and non-vestibular factors. Delays in diagnosis and a lack of specialised testing lead to a delay in treatment, worsening the quality of life and contributing to psychiatric comorbidities. Orv Hetil. 2025; 166(11): 413–420.